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North Carolina Hospital Association

Serving North Carolina Hospitals & Health Systems


Hospital Community Benefits Report

North Carolina communities are unique. The hospitals and health systems that serve these communities are equally so. That uniqueness extends to hospital policies for assisting patients with financial challenges. These policies, combined with each community’s demographics, greatly influence the amount of the local hospital’s charity care and other community benefits. Economic conditions among communities differ, prompting different hospital standards for charity care. There is also no one-size-fits-all solution for segmenting between charity care (health care services provided free of charge or at a substantial discount) and bad debt (an unpaid obligation by an individual who could pay for the health care service they received).

Hospitals and health systems depend on the state's Certificate of Need law to enable them to provide essential services to their communities. As the safety net providers in their communities, hospitals and health systems use the funds earned in excess of cost in one service line to cover charity care and bad debt expenses for which they are not reimbursed. Those funds also support other services, like emergency care, that are reimbursed at less than cost to preserve access to care for everyone in their communities.

NC hospitals and health systems are committed to providing healthcare consumers with useful information to help them make decisions about care for themselves and their families. Understanding financial assistance policies is vital for consumers to make a reasoned comparison of hospital community benefit reports.

This site pairs hospitals’ community benefit reports with their financial assistance policies. Just click on the report and the policy alongside each hospital name. The financial data was self-reported by hospitals using guidelines developed by NCHA and our members. It has not been validated by NCHA or by another independent resource.

This list includes all general acute care hospitals in North Carolina. It also includes several other types of hospitals that have volunteered to share their community benefit reports. If a hospital does not have a current community benefit report listed, please contact the hospital directly. A list of NCHA member hospital contact information is available here.

For details about quantifying community benefit, please see the NCHA Community Benefit Guidelines. NCHA will continue to work with hospitals to standardize definitions and data sources to improve community benefit reporting.

For more information, or to report a problem, please send email to communitybenefits@ncha.org.

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